Average Medicaid Office Visit Payments in Colorado Springs, CO: $95.93
Avg. Paid
$95.93
Range
$0.00 – $1,477
Total Claims
2,902,599
Providers
1,625
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Colorado Springs, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John H. Bissell
3910 S Carefree Cir Ste F |
$59.14 | 42,210 | 15,899 |
|
Mark Jankelow
1318 W Colorado Ave |
$83.26 | 27,190 | 21,215 |
|
Bradley Philip Coughlin
2767 Janitell Rd |
$96.46 | 26,830 | 25,542 |
|
Leslie Marie Dawdy
1304 N Academy Blvd Ste 201 |
$64.89 | 25,930 | 21,952 |
|
Lewis Wesley Swarthout
5615 Constitution Ave |
$82.28 | 25,618 | 19,368 |
|
Leah Johnson
2767 Janitell Rd |
$99.65 | 23,272 | 22,303 |
|
Aaron E Fedewa
2767 Janitell Rd |
$94.53 | 23,256 | 22,096 |
|
Cristi Bundukamara
3720 Sinton Rd Ste 104 |
$85.30 | 23,117 | 16,255 |
|
Pratheep Arora
1380 E Fillmore |
$39.92 | 23,056 | 15,053 |
|
Adrianna Juliet Allen
13445 Voyager Pkwy |
$100.01 | 21,557 | 20,736 |
|
Ian R Tullberg
2767 Janitell Rd |
$96.71 | 21,430 | 20,428 |
|
Margot Anne Crossley
6965 Tutt Blvd Ste 100 |
$92.16 | 20,644 | 17,997 |
|
Francis F Joseph
1304 N Academy Blvd Ste 206 |
$45.48 | 19,575 | 15,187 |
|
James Bradley Hsueh
2767 Janitell Rd |
$99.32 | 19,462 | 18,559 |
|
Robert Charles Price
2767 Janitell Rd |
$97.86 | 19,165 | 18,191 |
|
Gigi Podczervinski
2767 Janitell Rd |
$97.21 | 17,371 | 16,647 |
|
Richard Phong Vu
4190 E Woodmen Rd |
$61.00 | 17,336 | 14,869 |
|
Robert Edward Sayers
1715 N Weber St |
$82.64 | 16,970 | 14,890 |
|
Christa Maria Coolidge
2767 Janitell Rd |
$96.70 | 16,819 | 16,048 |
|
Kevin K. Snyder
1115 Elkton Dr Ste 300 |
$78.20 | 14,739 | 10,541 |
|
Baiju Abdulla
37 Widefield Blvd |
$76.30 | 14,689 | 13,204 |
|
Frances J Gorman
8540 Scarborough Dr |
$74.33 | 14,277 | 12,320 |
|
Brent Jon Persons
1330 Quail Lake Loop Ste 220 |
$69.73 | 13,809 | 11,962 |
|
Michael Scott Peck
6160 Tutt Blvd Ste 250 |
$57.77 | 13,517 | 11,481 |
|
Shannon Powell
5799 Stetson Hills Blvd |
$64.49 | 12,626 | 8,678 |
|
Sara J. Martin
225 S Union Blvd |
$162.13 | 12,489 | 9,723 |
|
Matthew Reed Thomas
2620 Tenderfoot Hill St Ste 200 |
$59.63 | 12,230 | 10,507 |
|
Paul W Cump
350 Printers Pkwy |
$182.68 | 12,151 | 11,073 |
|
Jordan Mcelravy
2767 Janitell Rd |
$105.58 | 11,975 | 11,490 |
|
Barbara Jean Divish
2828 International Cir |
$199.69 | 11,923 | 10,976 |
|
Amanda Lee Bishop
2767 Janitell Rd |
$94.29 | 11,759 | 11,229 |
|
Brita Lage
2767 Janitell Rd |
$89.78 | 11,653 | 11,037 |
|
Jared Miles
2767 Janitell Rd |
$105.84 | 11,637 | 11,176 |
|
Della Lane
2767 Janitell Rd |
$86.41 | 11,532 | 10,865 |
|
Lee T Fleming
1155 Kelly Johnson Blvd Ste 310 |
$54.76 | 11,256 | 10,184 |
|
Susan Gabrielle Dern
2502 E Pikes Peak Ave |
$89.25 | 11,238 | 10,448 |
|
Michael Anthony Reisig
2828 International Cir |
$210.91 | 11,004 | 10,211 |
|
Maria T Bise
1130 Lake Plaza Dr |
$27.23 | 10,955 | 8,865 |
|
Algenon Martell Parson
2222 N Nevada Ave |
$16.56 | 10,871 | 1,192 |
|
Maria Elisa Valdez
402 N Tejon St |
$73.37 | 10,860 | 9,757 |
|
Mary Ann Figueroa
350 Printers Pkwy |
$199.76 | 10,820 | 9,679 |
|
Kathleen Lacy Moehring
340 Printers Pkwy |
$203.24 | 10,762 | 9,070 |
|
Alyssa J Mcclurg
4863 N Nevada Ave |
$192.14 | 10,741 | 8,927 |
|
Valerie Denise Williams
3207 N Academy Blvd |
$143.51 | 10,676 | 7,661 |
|
Melissa Mitton
225 S Union Blvd |
$203.68 | 10,636 | 9,136 |
|
Grace N Nweke
4020 Palmer Park Blvd |
$63.44 | 10,554 | 9,213 |
|
Jacquita Jordan
1259 Lake Plaza Dr Ste 270 |
$92.34 | 10,446 | 8,926 |
|
Anna H Dickey
3207 N Academy Blvd |
$181.93 | 10,252 | 9,187 |
|
Kimberly Sue Stein
350 Printers Pkwy |
$205.09 | 10,239 | 9,418 |
|
Kaitlin Alexandra Veselicky
340 Printers Pkwy |
$208.50 | 10,185 | 9,418 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Colorado Springs, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Colorado Springs, CO is $95.93 per claim, based on 2,902,599 claims from 1625 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Colorado Springs, CO?
There are 1625 Medicaid providers offering Office Visit related services in Colorado Springs, CO according to public payment data.
What is the price range for Office Visit in Colorado Springs, CO?
Medicaid reimbursement for Office Visit in Colorado Springs, CO ranges from $0.00 to $1,477 per claim, with an average of $95.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Colorado Springs, CO
Substance Abuse Treatment
Avg $185.90
2,709,369 claims
Personal Care Services
Avg $39.49
1,822,464 claims
Home Health Visit
Avg $97.60
1,739,313 claims
Physical Therapy
Avg $46.47
1,393,162 claims
Psychiatric Evaluation
Avg $81.18
1,321,507 claims
Dental Cleaning & Exam
Avg $32.80
1,061,897 claims
Case Management Services
Avg $65.62
873,469 claims
Non-Emergency Medical Transportation
Avg $47.41
832,163 claims